Graham Camp Registration Form

Graham Camp Registration Form

2025-2026 School Year - FALL SEMESTER - August-December **must be enrolled in Kindergarten+ elementary school for registration**
Parent's Name*

First NameLast Name
Parent's E-mail Address*
example@example.com
Parent's Cell Number*
Child's Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Child's Age*
Child's Highest Grade Completed*
Child's Allergies (please list or type none)*
Please list any siblings currently enrolled at PLC:
Child's Registration Date(s)*
PLC Graham offers holiday camp for both CSISD and ILT campuses. Please make sure to register your child's days accurately to avoid any unnecessary fees.
Notice*

I understand by signing my child up for camp, I will be charged by the week following my child's attendance. If my child does not attend a registered camp day, I am responsible for 50% of my child's daily camp fees. If I do not cancel my child's camp enrollment at least 5 days in advance, I am responsible for 50% of my child's daily camp fees. Prodigy Learning Center must have your family's ACH account on file in order for your child to remain registered.
Parent Signature*

Clear
Should be Empty: